Active NPI
Robert Clarke Maiocco, M.D.
- Family Medicine Physician
- Aurora, CO
National Provider Identifier
1306895578
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Jun 20, 2018.
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 36651
- Practice address
- 3025 S Parker Rd
Suite 100
Aurora, CO 80014-2914 - Phone
- (303) 481-7030
- Fax
- (303) 745-7665
- NPI assigned
- May 8, 2006
- Last updated
- Mar 30, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 36651 | CO | Primary |
Addresses
Primary practice location
3025 S Parker Rd
Suite 100
Aurora, CO 80014-2914
Mailing address
3025 S Parker Rd
Suite 100
Aurora, CO 80014-2914
Phone (720) 981-9740
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01366517 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36651 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piney Creek Medical LLC | Family Medicine | Past | Accepting new patients |
| Preferred Provider Services, LLC | Past | Accepting new patients | |
| Healthone Clinic Services LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rehabilitation Clinic/Center
- Denver, CO
- NPI 1609950914
-
- Family Medicine Physician
- Aurora, CO
- NPI 1003859836
-
- Geriatric Medicine (Internal Medicine) Physician
- Aurora, CO
- NPI 1275813297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396137600000",
"number": "1306895578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3025 S PARKER RD",
"address_2": "SUITE 100",
"city": "AURORA",
"state": "CO",
"postal_code": "800142914",
"telephone_number": "720-981-9740",
"fax_number": "720-981-9740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3025 S PARKER RD",
"address_2": "SUITE 100",
"city": "AURORA",
"state": "CO",
"postal_code": "800142914",
"telephone_number": "303-481-7030",
"fax_number": "303-745-7665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAIOCCO",
"first_name": "ROBERT",
"middle_name": "CLARKE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-08",
"last_updated": "2014-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "36651",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01366517",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.